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Successful lymphatic embolization using N-butyl-2-cyanoacrylate for postoperative lymphorrhea in a patient with renal pelvic cancer

We present a successful case of percutaneous lymphatic embolization using N-butyl-2-cyanoacrylate (NBCA) for postoperative lymphorrhea in a patient with urothelial carcinoma of renal pelvis. A 75-year-old man with urothelial carcinoma of left renal pelvis with para-aortic lymph nodes metastases. The...

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Published in:Radiology case reports 2020-11, Vol.15 (11), p.2139-2143
Main Authors: Irie, Yuki, Obinata, Daisuke, Tsukada, Jitsuro, Arakawa, Shigeyuki, Kadotani, Masaya, Hori, Yutaro, Yoshizawa, Tsuyoshi, Mochida, Junichi, Yamaguchi, Kenya, Takahashi, Satoru
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container_issue 11
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container_title Radiology case reports
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creator Irie, Yuki
Obinata, Daisuke
Tsukada, Jitsuro
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Hori, Yutaro
Yoshizawa, Tsuyoshi
Mochida, Junichi
Yamaguchi, Kenya
Takahashi, Satoru
description We present a successful case of percutaneous lymphatic embolization using N-butyl-2-cyanoacrylate (NBCA) for postoperative lymphorrhea in a patient with urothelial carcinoma of renal pelvis. A 75-year-old man with urothelial carcinoma of left renal pelvis with para-aortic lymph nodes metastases. The patient presented severe lymphorrhea after neo-adjuvant chemotherapy followed by laparoscopic total left nephroureterectomy and lymph nodes dissection. Since conservative treatments were ineffective, percutaneous lymphatic embolization using NBCA resulted in healing of the lymphorrhea without recurrence. Percutaneous lymphatic embolization using NBCA followed by intranodal lymphography is a powerful treatment option for intractable postoperative lymphorrhea after lymph nodes dissection.
doi_str_mv 10.1016/j.radcr.2020.08.051
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subjects Case Report
Lymphatic embolization
N-butyl-2-cyanoacrylate
Node dissection
title Successful lymphatic embolization using N-butyl-2-cyanoacrylate for postoperative lymphorrhea in a patient with renal pelvic cancer
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